My doctor has phoned for me to come in and discuss thyroid blood results . I asked for a printout so I will be prepared.
What do you think.
TSH 5·76 mu/L. ( 0·35. -5·5 )
T4 15pmol/L. ( 9 - 23 )
T3. 4· 1 pmol/L ( 3·5 - 6·5 )
A TSH only test on April 2nd showed
TSH 3·46 mu/L. Range as above .
A blood panel in October showed
TSH 0·51
T4 17
T3 4·4
I was told by a disinterested doctor in October , to take an extra 25 of Levo ( I was taking 100 )when I asked about some T3.
I tried this and felt awful , so I have been taking alternate 100/125 ,but I don't feel well still.
My vitamins and minerals were all at the bottom last year, and I had hoped when they were sorted ( which they are b12 jabs etc ) I would start to improve but not so.
The young Doctor I am seeing on Monday is very helpful and willing to listen. I gave him Dr Tofts article last time and he took it to read.
Any opinion would be welcome.
Thanks Pp
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Pinkpeony
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Pinkpeony, you are undermedicated. People on Levothyroxine are usually comfortable with TSH just above or below 1.0 and FT4 towards or in the top 75% of range >19. When optimally dosed FT3 should be towards/in the top third of range >5.0.
Dr. Toft discusses dosing and levels in the article you gave your GP and in Treatment Options in the link below.
Pinkpeony, not unless you are unable to tolerate higher doses of Levothyroxine. T3 is usually prescribed when FT3 remains low on optimal T4 dosing, ie low TSH and high FT4.
If you can't tolerate higher doses of Levothyroxine it is worth asking for T3 to be added. I found the addition of T3 calmed adverse effects I had on Levothyroxine.
Some GPs are discouraged from prescribing T3 without specialist recommendation.
Pinkpeony, perhaps your thyroid was previously producing hormone and has now failed or perhaps you are not absorbing the Levothyroxine as well as you were previously. Have you had gut issues or started new medication which may affect uptake of Levothyroxine?
PP, Lansoprazole and other PPIs and antacids are prescribed to reduce stomach acid when there is inflammation and these can reduce absorption of Levothyroxine. I'm not sure it is a good idea to raise stomach acid with ACV when you have inflammation.
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